Richard Karol, MD
NPI 1528088200 · Emergency Medicine Physician · Smyrna, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Karol, MD is a Emergency Medicine Physician provider in Smyrna, GA (NPI 1528088200).
Provider details
- NPI number
- 1528088200
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 028581 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,323 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 549 | $159 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 485 | $7 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 141 | $111 |
| Critical Care, First 30-74 Minutes99291 | 134 | $194 |
| Emergent Insertion of Breathing Tube Into Windpipe Using an Endoscope31500 | 14 | $127 |
Typical Medicare-allowed amounts for these services range $7–$194 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 60 | 58 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 25 | 24 |
| Naproxen Sodium | 24 | 22 |
| Tramadol Hcl | 23 | 23 |
| Prednisone | 17 | 15 |
| Pantoprazole Sodium | 16 | 16 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Frequently asked questions
- What is Richard Karol's NPI number?
- Richard Karol's National Provider Identifier (NPI) is 1528088200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Karol's specialty?
- Richard Karol is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Karol located?
- Richard Karol's practice location on file with NPPES is 3949 S Cobb Dr Se, Smyrna, GA 30080-6342.
- What is Richard Karol's phone number?
- The practice phone number listed in the NPPES registry for Richard Karol is (770) 438-5222.
- Does Richard Karol accept Medicare?
- Richard Karol is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Karol's NPI active?
- Yes — Richard Karol's NPI (1528088200) is active in the NPPES registry as of the last update on 2021-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.